JOHN A PAKIELA DO NPI 1265402036

NPI Information

NPI: 1265402036
Provider Name: JOHN A PAKIELA, DO
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
2400 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-5000
Get Directions

John A Pakiela, DO is an emergency medical services emergency medicine in Rockford, IL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. John A Pakiela, DO NPI is 1265402036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103-655
Phone: (815) 971-5000
Fax: (815) 968-9340

The NPI 1265402036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 9/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		34-00-7227-P	OHIO	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	64315-21	WISCONSIN	No
3	207PE0004X	Emergency Medicine	Emergency Medical Services	036-138517	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5619197341B83	OTHER	OHIO	BLUECROSS BLUESHIELD
2	2256642	MEDICAID	OHIO
3	PA4044692	MEDICARE PIN	OHIO
4	H33353	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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